<hr/><h3>{FORGOT_P}</h3><br />
<div align="center"><span id="msg"></span></div>
<form method="post" action="">
<table class="registration" border=1><tr>
<th><b>&nbsp;{SEND_PW}</b></th>
<th><b></b></th></tr>

<tr>
<td width="220" height="36"><div align="left"><b>{EMAIL}: </b><br />
{EMAIL_EXPLAIN}
</div></td><td> <div align="left"> <input size="30" type="email" name="user_email" /><br/>&nbsp;<br/>&nbsp;
</td>
</div></table>	<table class="registration" border=1>
{IFCAPTCHA}<br />

<tr>
<td height="36"><img src="captcha.php" /></td></tr><tr><td height="36"><input size="9" name="number" type="text" id="number" /></td></tr>
</tr></td>	
		<tr>
		<td><i>{CAPTCHA_EXPLAIN}</i></tr></td>
{END}<tr>
        <td height="36"><input type="submit" class="inputButton" value="Submit" />
		<input type="reset" class="inputButton" value="Reset" />
 	    </td></tr></table></form>